NURS 2516 Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Name Trade Name Classification Dose Route Time/frequency

hydromorphone Dilaudid allergy, cold, and 1 mg IV Q 4-6 hrs prn
cough remedies
(antitussives),
opioid analgesics
Peak Onset Duration For IV meds, compatibility with IV drips and /or solutions
15-30 min 10-15 min 2-3 hr Dilute with at least 5 ml of sterile water or 0.9% NaCl for
injection. Inspect solution for particulate matter. Slight
yellow color does not alter potency. Store at room
temperature
Mechanism of action and indications Nursing Implications (what to focus on)
(Why med ordered) Contraindications/warnings/interactions
Binds to opiate receptors in the CNS, Alters the Hypersensitivity, Some products contain bisulfites and
perception of and response to painful stimuli while should be avoided in patients with known hypersensitivity
producing generalized CNS depression, Suppresses the Common side effects
cough reflex via a direct central action. confusion, sedation, hypotension, constipation
Pain control
Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) May ↑ plasma amylase and lipase concentrations
↑ risk of CNS depression with alcohol , antidepressants ,
Be sure to teach the patient the following about this
antihistamines , and sedative/hypnotics including
medication
benzodazepines and phenothiazines
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Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
Assess blood pressure, pulse, and respirations med? Decrease in severity of pain
before and periodically during administration. If CNS depression (resp < 12), without a significant alteration
respiratory rate is <10/min, assess level of
sedation. Dose may need to be decreased by 25-
in level of consciousness or
50%. Initial drowsiness will diminish with continued respiratory status
use. Assess pediatric patient frequently; children
are more sensitive to the effects of opioid
analgesics and may experience respiratory
complications, excitability and restlessness more
frequently
 ○
Asse
ss
bow
el
funct
ion
routi
nely.
Instit
ute
prev
entio
n of
cons
tipati
on
with
incre
ased
intak
e of
fluid
s
and
bulk,
and
laxat
ives
to
mini
mize
cons
tipati
ng
effec
ts.
Adm
inist
er
stim
ulant
laxat
ives
routi
nely
if
opioi
d
use
exce
eds
2-3
days
,
unle
ss